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[聚合酶链反应检测消化性溃疡患者粪便标本中幽门螺杆菌的应用价值]

[Usefulness of Helicobacter pylori detection from feces specimens of the patients with peptic ulcer by polymerase chain reaction].

作者信息

Kurokawa M, Minamide M, Nukina M, Nakanishi H, Miki K, Tomita S, Tohdo A, Haruta T

机构信息

Department of Bacteriology, Kobe Institute of Health.

出版信息

Kansenshogaku Zasshi. 1997 Nov;71(11):1168-71. doi: 10.11150/kansenshogakuzasshi1970.71.1168.

Abstract

Detection of Helicobacter pylori was studied on the feces and biopsy specimens of 91 patients with gastric ulcer by using cultured and polymerase chain reaction methods. Number of samples from feces and biopsy specimens were 1 (1.1%) and 56 (61.5%) by culture method, on the other hands 49 (53.8%) and 70 (76.9%) in polymerase chain reaction method, respectively. Sensitivity of polymerase chain reaction applied to feces and biopsy specimens were 68.1 and 97.2, respectively. Noninvasive diagnosis such as detection of organisms from feces is effective for patients who have difficulty in collecting the gastric biopsy specimens. Infection route was not clarified, however, fecal-to-oral transmission was strongly suggested by the fact that the organisms were detected from feces samples in this study.

摘要

采用培养法和聚合酶链反应法,对91例胃溃疡患者的粪便和活检标本进行幽门螺杆菌检测。培养法检测粪便和活检标本的阳性样本数分别为1例(1.1%)和56例(61.5%),而聚合酶链反应法检测粪便和活检标本的阳性样本数分别为49例(53.8%)和70例(76.9%)。应用于粪便和活检标本的聚合酶链反应的灵敏度分别为68.1和97.2。对于难以采集胃活检标本的患者,从粪便中检测病原体等非侵入性诊断方法是有效的。然而,感染途径尚未明确,不过本研究中从粪便样本中检测到病原体这一事实强烈提示了粪-口传播。

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